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Uncategorized Published - 5 August, 2022    By - Dr Clemens
Perioperative Ethics: The Search for Truth, a Semblance of Certainty, and the ‘Right’ Things to Do

Authors: Zachary Deutch, MD, FASA; Alyssa M. Burgart, MD, MA, FAAP ASA Monitor July 2022, Vol. 86, 18–19. Hello everyone – I hope you are all enjoying summertime! Our last column touched peripherally on the concept of ethics in medicine, when we explored the question of what obligation the developed world has to assist the emerging world. […]

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Uncategorized Published - 5 August, 2022    By - Dr Clemens
ACE Question

ASA Monitor July 2022, Vol. 86, 6. An 80-year-old man with carotid stenosis undergoes carotid endarterectomy. He is hypertensive postoperatively and receives a sodium nitroprusside infusion at 4 μg/kg/min. About 24 hours later, he becomes confused, remains hypertensive, and develops metabolic acidosis. Which of the following interventions is MOST appropriate for this patient? □ (A) Increasing […]

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Uncategorized Published - 4 August, 2022    By - Dr Clemens
Cutting-Edge Technology in Perioperative Blood Glucose Monitoring

Authors: Lalitha Sundararaman, MD et al  ASA Monitor June 2022, Vol. 86, 1–8. Diabetes mellitus is one of the top 10 causes of mortality and morbidity worldwide. Additionally, annual worldwide health care expenditure due to diabetes is $726 billion or more (Diabetes Res Clin Pract 2019;157:107843). Advancements in technologies that support diabetes management have greatly increased […]

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Uncategorized Published - 4 August, 2022    By - Dr Clemens
Suppression of Fibrinolysis and Hypercoagulability, Severity of Hypoxemia, and Mortality in COVID-19 Patients

Authors: Kristin M. Corey, M.D. et al  Anesthesiology July 2022, Vol. 137, 67–78. Background COVID-19 causes hypercoagulability, but the association between coagulopathy and hypoxemia in critically ill patients has not been thoroughly explored. This study hypothesized that severity of coagulopathy would be associated with acute respiratory distress syndrome severity, major thrombotic events, and mortality in patients […]

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Uncategorized Published - 4 August, 2022    By - Dr Clemens
Early Physiological Effects of Prone Positioning in COVID-19 Acute Respiratory Distress Syndrome

Authors: Francesco Zarantonello, M.D. et al  Anesthesiology Newly Published on July 2022. Background The mechanisms underlying oxygenation improvement after prone positioning in COVID-19 acute respiratory distress syndrome have not been fully elucidated yet. The authors hypothesized that the oxygenation increase with prone positioning is secondary to the improvement of ventilation-perfusion matching. Methods In a series of […]

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